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I’m 42 years old and I had a hemorrhagic stroke 2 years ago,

I’m 42 years old...

I’m 42 years old and I had a hemorrhagic stroke 2 years ago, the previously undetected cavernous malformation started bleeding. I fully recovered, I have annual MRIs with and without dye, the results are stable and I’m symptom free. The only medication I’m on is 20mg Fluoxetine (I have been on it for over a decade).My question is, would it be safe to take dietary (keto) supplements to lose weight?One serving contains 1600mg of the proprietary blend (Magnesium Beta-Hydroxybutyrate, Calcium Beta-Hydroxybutyrate, Sodium Beta-Hydroxybutyrate and MCT oil powder)Many thanks

Doctor's Assistant: The Neurologist can help. Just a couple quick questions before I transfer you. Do you have frequent headaches? Any issues with coordination or balance?

Migraines yes since my childhood. Coordination and balance problems no

Doctor's Assistant: Is the headache episodic or daily? And what about nausea?

Hello, I'm Dr. Upchurch. Thank you for using JustAnswer!. I'm reviewing your question and will get back to you shortly. Please feel free to ignore any request for telephone conversation unless you would like this; the request is automated. We can continue online if you would like.

I'm sorry to hear about your issues with a cavernous malformation bleed. Did you have surgery or any procedure (ie. embolization) of the cavernous malformation after the bleed? Do you suffer from high blood pressure?

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Customer reply replied 20 days ago

Hi Dr Upchurch! Thank you for responding! Can I just text you back here?

No I did not have any procedures, I have been told that the amount of leakage was so small that it would be absorbed by the brain like a bruise. I don’t have high blood pressure. No one knows what kicked in the bleeding, I just woke up from a nap and couldn’t stand up, I was dizzy and nauseous and talked jibberish.I never had an MRI before so I was unaware of the malformations.

Thank you! Have you talked to a doctor about the keto supplements and your diet? Do you know the steps involved in this? Are you doing the full keto diet (ie, low carbohydrate/protein diet and checking blood acidity levels) or just taking these supplements?

Have you talked to a doctor about the keto supplements and your diet? Do you know the steps involved in this? Are you doing the full keto diet (ie, low carbohydrate/protein diet and checking blood acidity levels) or just taking these supplements?

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Customer reply replied 20 days ago

I’m not taking the supplements. I just saw them in the store. I’m on the diet, I’m eating low carb for a month now without significant results. I’m okay without the supplements I was just wondering if it’s a good/safe idea or not.

Unfortunately, I am not a dietician (though you may have spoken to one in the past) so I cannot necessarily tell you about the benefits or the procedure of the diet (only that it is a low carb, moderate protein, high fat diet and may induce acidosis). However, as it comes into interaction with you history of AVM bleed, I don't think this should create a problems. VMs are abnormal tangles of blood vessels (basically arteries connected directly to veins without an intervening capillary bed) so anything that creates high pressure through this bed (ie. high blood pressure or vein blockage) would result in bleeding an present a risk. As I don't believe a keto diet (if done, well, mind you, and without starving yourself!) would create these problems, I do not think this should pose any risk for a re-bleed from the AVM.

Is this information helpful for you? Anything else I can answer?

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Customer reply replied 20 days ago

This information was very very helpful!!!! I deeply appreciate your kindness and the precious time you spent on helping me!I don’t have any further questions!

You are very welcome! Thank you so much for using JustAnswer.com! My goal is to provide you with the highest quality (5-star rated) answer to your question. If I have fulfilled this goal, please rate me with our automated system. If not, feel free to ask more questions, and please request me in the future if you were happy with my service! Take care and stay safe!

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Customer reply replied 20 days ago

I’m gonna do the rating and everything I can to leave positive feedback. I’m 100% satisfied. Many thanks.

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Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.